Perioperative medicine & outcomes
Excess hospital length of stay and extra cost attributable to primary prolonged postoperative ileus in open alimentary tract surgery: a multicenter cohort analysis in China
Authors' conclusion
Primary PPOI is a potential source of prolonged hospital LOS and extra healthcare costs for patients undergoing open abdominal surgery.
Study context
- Population
- Patients undergoing open abdominal surgery without secondary prolonged postoperative ileus (PPOI), 22 tertiary hospitals in China1,863 analysed
- Participants
- 2,083 patients
- Exposure
- Primary PPOI vs no PPOI
- PPOIn = 246
- Outcome
- Hospital LOS and healthcare costs
Methodological detailsprospectively registered cohort, multivariate Poisson and log-transformed linear regression
- Prospectively registered cohort
- Multivariate Poisson and log-transformed linear regression
Main finding
As reported in the abstract
| Group | Value | Median healthcare cost |
|---|---|---|
| PPOI | median 12 days | 70,672 CNY |
| non-PPOI | median 11 days | 67,597 CNY |
Value
PPOImedian 12 days
non-PPOImedian 11 days
Median healthcare cost
PPOI70,672 CNY
non-PPOI67,597 CNY
- PPOI vs non-PPOI: P < 0.001 — median length of stay (LOS)
- PPOI vs non-PPOI: P = 0.016 — median healthcare cost
- Proportion of prolonged LOS due to primary PPOI (multivariate Poisson regression)
- 12%
- Proportion of healthcare costs due to primary PPOI (log-transformed linear regression)
- 4.6%
Observational data: associations, not effects.
Further findings
- Incidence of primary PPOI (246/1863)
- 13.2%
Original publication
Excess hospital length of stay and extra cost attributable to primary prolonged postoperative ileus in open alimentary tract surgery: a multicenter cohort analysis in China. Perioper Med (Lond). Published 18 December 2024. doi:10. 1186/ s13741-024-00474-9
Composed by AI from the published abstract and checked against it. How Briefs are made →